NANCY WALLACE FNP
NPI 1245996628
Nurse Practitioner - Family in Cooperstown, NY

Q: What is Nancy Wallace's NPI number?

The NPI number for Nancy Wallace is 1245996628. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Q: What is Nancy Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Wallace was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 10, 2021PECOS EnrolledAccepts Medicare Assignment

1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3240 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 8, 2025, Nov 10, 2021 (2 updates tracked since 2021).

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About Nancy Wallace Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANCY WALLACE FNP (NPI 1245996628) is an individual family provider in Cooperstown, New York, licensed in New York (348816) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245996628

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNANCY WALLACECredential: FNP

Location Address1 ATWELL RDCooperstown, NY 13326

Mailing Address1 Atwell RdCooperstown, NY 13326 · (607) 547-3480

Phone(607) 547-3240

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 10, 2021

Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1245996628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 348816

1 ATWELL RD, Cooperstown, NY 13326

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Wallace Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527451913

PECOS Enrollment IDI20220208000104

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

28 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330085

LocationOne Norton AvenueOneonta, NY 13820 · Otsego County

Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330136

LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County

Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331305

Location460 Andes RoadDelhi, NY 13753 · Delaware County

Emergency services

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331311

Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13326 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIRLEY SCHUE ARNP

Nurse Practitioner (Pediatrics)